https://doi.org/10.36719/2789-6919/40/91-94
Ulfet Mikayilov
Azerbaijan Medical University, Department of Forensic Medicine
Doctor of Philosophy in Medicine
ulfetmikayilov55@gmail.com
https://orcid.org/0009-0006-0234-2495
Frequency and Severity of Hypocalcemia in Trauma Patients Receiving Massive Blood Transfusion
Abstract
The article provides a brief overview of the incidence and severity of hypocalcemia in trauma patients receiving massive blood transfusion, and presents the achievements and experience of studying this problem in recent years. Calcium is a key component of trauma resuscitation and coagulation problems. As treatment of critically ill patients with multisystem trauma evolves, the basic principles of treating severe traumatic bleeding continue to focus on controlling bleeding while mitigating the triad of death: hypothermia, acidosis, and coagulopathy. Intrinsically linked to each component of the lethal triad, hypocalcemia plays a key role in the outcome of patients with multisystem trauma. Critically ill trauma patients are often hypocalcemic prior to resuscitation, and this condition is worsened by transfusion of essential blood products. Hypocalcemia in critically ill trauma patients is clearly associated with increased mortality. Transfusion of blood products with calcium replacement is recommended in the management of bleeding patients.
Keywords: hypocalcemia, trauma, blood transfusion, intervention, patient, trauma outcome